1. PETUGAS MONITORING
Nama :.........................................................................................................
Jabatan : .........................................................................................................
2. PELAKSANAAN MONITORING
Hari / Tanggal : .........................................................................................................
Waktu : .........................................................................................................
Nama DUDI : .........................................................................................................
Alamat DUDI : .........................................................................................................
.........................................................................................................
3. JURNAL SISWA
Indramayu,.....November 2022
Pembimbing Eksternal Pembimbing Internal
(............................................) (.......................................)